Aw di we aw yu de liv yu layf kin afɛkt di sik we dɛn kɔl dayabitis (Social Determinants of Health and Diabetes) .

Bɔrku pan wi kin tink se Dayabitis na sik wae kin jɔs no bɔt tin dɛm lɛk wetin wi de it ɛn if wi de du ɛksɛsayz ɔr nɔr de du ɛksɛsayz? Na tru se dɛn tin dɛn de rili impɔtant. Bɔt tide a go tɛl una bɔt wan tin we dip smɔl we wi nɔ de tɔk bɔt bɔku tin na wi ɛvride layf. Yu dɔn ɛva tink bɔt aw di envayrɔmɛnt we yu de liv, yu ikɔnomi lɛvɛl, di edyukeshɔn ɛn fasiliti dɛm we yu de gɛt kin afɛkt yu wɛlbɔdi, mɔ wan sik we kin de fɔ lɔng tɛm lɛk dayabitis? Dis na di tɔpik we wi de tɔk bɔt tide.

Wɛlbɔdi nɔ jɔs min bɔt mɛrɛsin.

Imajin se dɔktɔ tɛl yu fɔ "it it we balans ɛn ɛksesaiz fɔ wan awa ɛvride." Da advays de rili fayn. Bɔt yu tink se ɔlman gɛt di sem abiliti ɛn fridɔm fɔ fala da advays de?

Fɔ tɔk am simpul wan, nɔto di mɛrɛsin we wi de tek we wi sik, de sho wi wɛlbɔdi. Bɔku tin dɛn kin afɛkt am, lɛk usay dɛn bɔn wi, di say we wi gro ɔp, di wok we wi de du, di lɛvul we wi de gɛt mɔni, ɛn di edyukeshɔn we wi de gɛt. Sɔntɛnde, ivin we pɔsin de gɛt wɛlbɔdi savis, dɛn kin gɛt injɔstis ɛn dɛn nɔ kin pe atɛnshɔn to am. Fɔ ɛgzampul:

• I tan lɛk se di dɔktɔ nɔ bisin tumɔs bɔt di sayn dɛm we yu de tɔk bɔt.
• Fɔ dismis yu wɛlbɔdi prɔblɛm dɛn as tin we nɔ impɔtant.
• Nɔr fɔ ɛksplen de sik ɛn tritmɛnt simpul wan, insay langwej wae yu ɔndastand.

Tin dɛm lɛk dis kin mek sɔm sik pipul dɛm at pwɛl ɛn nɔr kin trɔst di dɔktɔ dɛm ɛn di wan ol wɛlbɔdi biznɛs. Dis na tin we rili denja bikɔs da tɛm de dɛn nɔ go gɛt maynd fɔ go fɛn di rayt tritmɛnt fɔ dɛn sik.

Wetin na Sɔshial Ditarminant fɔ Wɛlbɔdi?

Ivin di Wol Wɛlbɔdi Ɔganayzeshɔn (WHO) no di kɔnsɛpt fɔ "sɔshial ditɛminant dɛm fɔ wɛlbɔdi." Fɔ tɔk am simpul wan, dis de tɔk bɔt di tin dɛn we de apin na di soshal, ikɔnomi, ɛn bɔdi we de afɛkt wi wɛlbɔdi dairekt wan ɛn we wi nɔ ebul fɔ kɔntrol.

Pan ɔl we i kin tan lɛk se dɛn tin ya nɔ gɛt natin fɔ du wit wɛlbɔdi biznɛs fɔs, risach dɔn pruv aw dɛn tin ya kin afɛkt wi kwaliti layf ɛn di risk fɔ gɛt sik dɛn. Lɛ wi tek tɛm luk wetin na dɛn tin ya.

Aw dɛn tin ya gɛt fɔ du wit dayabitis?

Naw yu kin de tink se, "Okay, dɛn tin ya kin afɛkt wɛlbɔdi in jɛnɛral, bɔt aw dis kin afɛkt dayabitis?" Lɛ wi ɔndastand am wit wan simpul ɛgzampul.

Imajin wan famili we nɔ gɛt bɔku mɔni na di siti. Mek wi kol am 'Siripala'. Siripala de sɔpɔt in famili bay we i de wok insay di de. I kin go wok 5 oklɔk na mɔnin ɛn kam bak na os arawnd 8 oklɔk na nɛt.

• Fɔ it: Siripala we kin wok tranga wan ɔl di de, kin si am se i nɔ kin izi fɔ bay tin dɛn we gɛt fayn fayn tin dɛn lɛk vɛjitebul, frut, ɛn fish pan di smɔl mɔni we i kin gɛt. Bifo dat, i kin bay dɛn izi wan ɛn nɔ dia frɔm di stɔ dɛn we de nia di rod.I kin tɔn to it we gɛt bɔku flawa, shuga, ɛn ɔyl (e.g. paratha, kottu, drink dɛn we dɛn dɔn swit). I de ful-ɔp di bɛlɛ, bɔt i nɔ de gi di bɔdi tin fɔ it.
• Ɛksesaiz: Bikɔs Siripala de wok tranga wan ɔl di de, i nɔ gɛt tɛm ɔ trɛnk fɔ ɛksesaiz. No sef ples nɔ de fɔ waka na di krawd neba usay i de.
• Stress: I kin gɛt strɛs ɔltɛm bikɔs ɔf mɔni prɔblɛm ɛn i kin wɔri bɔt in pikin dɛn tumara bambay. Dis strɛs kin chenj di ɔmon dɛn we de wok na di bɔdi, ɛn dis kin mek pɔsin gɛt dayabitis mɔ ɛn mɔ.
• Aw fɔ no ɛn mɛrɛsin savis: Siripala nɔr gɛt bɔku no bɔt di bɛsis sayn dɛm wae de sho se pɔrsin gɛt shuga ɔ aw fɔ avɔyd am. Bikɔs i kin lɔs in salari if i nɔ go wok fɔ wan de, i nɔ kin go to dɔktɔ ivin fɔ smɔl sik. I kin jɔs go na ɔspitul we di sik dɛn de wɔs. Dɔn i kin bi se i dɔn tu let.

Yu ɔndastand naw? Di risk we Siripala gɛt fɔ gɛt dayabitis we de bɔku nɔto bikɔs ɔf in "mistek". Di soshal ɛn ikɔmik kɔndishɔn we i de liv insay gɛt dairekt impak pan am. I nɔ mata aw pipul dɛn no bɔt aw fɔ kɔntrol dayabitis, i nɔ go ɛp pɔsin we nɔ gɛt di tin dɛn fɔ du dɛn tin dɛn de.

So wetin wi de du?

Dis nɔto prɔblɛm we pɔsin kin sɔlv in wan. Dis nid fɔ gɛt sɔlvishɔn as kɔntri, na di lɛvul fɔ di wan dɛn we de mek di polisi. Na dɛn wok fɔ mek gud wɛlbɔdi fɔ ɔlman, ikɔmi usay ɔlman go ebul fɔ gɛt it we gɛt fayn fayn tin dɛn fɔ it, ɛn say we sef.

Bɔt, tin dɛn de we wi kin du pan pɔsin in yon lɛvul bak.

1. Aw fɔ no: Di fɔs tin we wi fɔ du na fɔ ɔndastand se sɔshal tin dɛn lɛk dis kin afɛkt wi wɛlbɔdi.

2. Tɔk to yu dɔktɔ: We yu go si yu dɔktɔ, nɔ jɔs tɔk bɔt yu sik, bɔt yu fɔ tɔk bak bɔt di prɔblɛm dɛn we yu de gɛt na yu layf. Nɔ fred fɔ aks, "Dɔkta, a nɔ ebul fɔ it dis bɔku it we gɛt bɔku tin fɔ it. Us chenj a kin mek?" Dɔn yu dɔktɔ kin gi yu advays we fit yu sityueshɔn ɛn we yu kin du.

3. Mek smɔl chenj dɛn as yu ebul: Pan ɔl we i at fɔ mek big chenj, bigin wit smɔl smɔl tin dɛn. Smɔl tin dɛn lɛk fɔ kɔt di shuga bay wan ti spɔnj ɛvride, fɔ kɔmɔt na di bɔs wan stɔp bifo tɛm ɛn waka smɔl, ɛn fɔ mek it we yu kuk na os ɛnitɛm we i pɔsibul kin mek big difrɛns.

4. Kɔmyuniti ɛnjɔymɛnt: Tɔk to kɔmyuniti ɔganayzeshɔn ɛn lokal wɛlbɔdi ɔfisa dɛn bɔt wɛlbɔdi biznɛs na yu eria (e.g., dɔti prɔblɛm, ples fɔ ɛksesaiz we nɔ de).